4.4 Staff Ratios

The provider must provide sufficient direct-care staff members, per state licensing requirements, to manage and supervise participants in accordance with their Individualized Program Plan (IPP). The provider must have enough direct-care staff members to provide care and services so that participants do not injure themselves, do not injure others, and do not destroy property. Special staffing needs identified by the IPP (for example, one-to-one ratios) must be provided. Adequate numbers of direct-care staff members must be available to supervise participants when other direct-care staff members are unavailable (for example, during breaks, meals, meetings, and training).